Risk for Ineffective Coping secondary to Mastectomy NURSING DIAGNOSIS P: risk for ineffective coping E: Mastectomy  S: as manifested by  The patient doesn’t know yet her present condition. NURSING INTERVENTIONS 1. Provide atmosphere of acceptance.

CUES Subjective As verbalized by the patient’s daughter .

 “Ayaw
muna naming malaman ni mama saka na lang siguro kapag medyo malakas na sya.” Objective  Patient doesn’t know yet about her present condition of losing her right breast.

RATIONALE Mastectomy is a surgical operation done to avoid progressive proliferation of cancer cells in the breast. The patient has a great risk in coping up with her situation because of absence of knowledge of her true condition.

OBJECTIVES Short term: After 1520mins identify effective and ineffective coping patterns.

RATIONALE 1. Establishing rapport is essential to a therapeutic relationship and supports the client in self reflection. Recognizing problems and sharing feelings is best brought about in an atmosphere of warmth and trust. 2. Enhances a sense of control, personal achievement, and self esteem.

EVALUATION Short term: After 15 – 20 mins I was able to identify that the patient might cope up to her situation although she just want to be assisted by her daughter and not by us. Goals partially met.

Long term: After an hour patient will verbalize self control.

2. Arrange situations
that encourage her autonomy. Give her as many opportunities as possible to make her decisions/choices for herself.

Long term: After an hour, the patient allows us to insert a suppositories in her rectal area enable her to bowel and shows no shyness while one of us doing the intervention for her. Goal partially met.

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